Other Identifiers

Trading Partner ID – Enter your 7 digit trading partner number (will begin with either 0 or 6) assigned by ASK. This determines the Trading Partner Mailbox where the remittance advice will be delivered.

Assigning Authority

Trading Partner ID

Provider Contact Information

Provider Contact Name

Provider Contact Name – Provider office contact name.

Contact Telephone Number – Phone number of the contact name, including extension if available.

Electronic Remittance Advice Information

Preference for Aggregation of Remittance Data

Preference for Aggregation of Remittance Data – TIN and Billing NPI should match the information provided in Provider Identifiers Information. (Remittance Advice will be returned based on Billing NPI.)